Displaying 205111-205120 of 1611142 results.
ID:
205111
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205112
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205113
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205114
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205115
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205116
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205117
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205118
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205119
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205120
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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